Submit a Photo - My New Beginning

Share your story.

Success stories are what keep the My New Beginning team passionate about caring for patients. It’s all about helping each and every person find the healthy, active life they’ve always wanted to have.

Share your success with us! Upload a photo below of the progress you’ve made and the steps you’ve taken towards your new beginning.

Home > Submit a Photo

Authorization for use of my health information for marketing/broadcast/publication.

The My New Beginning program is a service of Baylor Scott & White Medical Center at White Rock Lake.

Submit a Photo

1
Choose File...*
Maximum size of 6MB. JPG, GIF, or PNG.
Starting Weight*
Weight in Photo*
2
First Name*
Date of Birth*
Address
Middle Name
Phone Number
City, State
Last Name*
Email Address*
Zip Code
3
Link to Video (OPTIONAL)
Tell Us Your Story (OPTIONAL)
By Clicking “Agree” I acknowledge that
I have read and understand the terms of this authorization and I have had an opportunity to ask questions about Baylor Scott & White Medical Center at White Rock Lake’s use or disclosure of my health information for marketing and possible use in broadcast or publication. I hereby knowingly and voluntarily authorize Baylor Scott & White Medical Center at White Rock Lake to use or disclose my health information for the purposes stated herein.
Authorization Agreement*
- I Agree